Valvuloplastía aórtica bajo guía ecocardiográfica en un lactante menor en un centro de referencia nacional del Perú: reporte de caso

Alex Catalán Cabrera; Karen Condori Alvino

doi:10.47487/apcyccv.v5i1.316

Authors

Alex Catalán Cabrera Área de Cateterismo Cardiaco Pediátrico, Instituto Nacional de Salud del Niño de San Borja, Lima, Perú. https://orcid.org/0000-0001-8341-2737
Karen Condori Alvino Área de Cateterismo Cardiaco Pediátrico, Instituto Nacional de Salud del Niño de San Borja, Lima, Perú. https://orcid.org/0000-0003-0833-2256

DOI:

https://doi.org/10.47487/apcyccv.v5i1.316

Keywords:

Aortic Valve Stenosis, Heart Failure, Echocardiography, Cardiac Catheterization

Abstract

Aortic stenosis is a congenital heart defect that causes a fixed left ventricular outflow obstruction with a progressive course. Symptomatology in neonates and young infants resembles congestive heart failure. In addition, the diagnosis of this condition is made by imaging, through echocardiography. On the other hand, treatment can be surgical or interventional under fluoroscopic guidance, depending on the hospital in which it is performed. We describe the case of a minor infant patient who presented severe aortic valve stenosis; however, the fluoroscopy equipment was not available at the time of the emergency to perform the appropriate procedure, therefore, an aortic valvuloplasty was performed under echocardiographic guidance without complications.

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References

Sievert H, Qureshi SA, Wilson N, Hijazi ZM. Interventions in structural, valvular and congenital heart disease [Internet]. 2a ed. CRC Press; 2020 [citado el 22 de septiembre de 2023]. Disponible en: https://doi.org/10.1201/b17909.

Affolter JT, Ghanayem NS. Preoperative management of the neonate with critical aortic valvar stenosis. Cardiol Young. 2014;24(6):1111-6. doi: 10.1017/S1047951114002029.

Al Marshafawy H, Al Sawah GA, Hafez M, Matter M, El Gamal A, Sheishaa AG, et al. Balloon Valvuloplasty of Aortic Valve Stenosis in Childhood: Midterm Results in a Children’s Hospital, Mansoura University, Egypt. Clin Med Insights Cardiol. 2012;6:57-64. doi: 10.4137/CMC.S8602.

Peuster M, Fink C, Schoof S, Von Schnakenburg C, Hausdorf G. Anterograde balloon valvuloplasty for the treatment of

neonatal critical valvar aortic stenosis. Catheter Cardiovasc Interv. 2002;56(4):516-20; discussion 521. doi: 10.1002/ccd.10259.

Benson L. Neonatal Aortic Stenosis is a Surgical Disease: An Interventional Cardiologist View. Semin Thorac Cardiovasc

Surg Pediatr Card Surg Annu. 2016;19(1):6-9. doi: 10.1053/j.pcsu.2015.11.008.

Li Y, Pang K, Liu Y, Li M, Wang H. Ultrasound-Guided Percutaneous Balloon Aortic Valvuloplasty for Aortic Stenosis. J Interv Cardiol. 2020;2020:8086796. doi: 10.1155/2020/8086796.

Stapleton GE. Transcatheter management of neonatal aortic stenosis. Cardiol Young. 2014;24(6):1117-20. doi: 10.1017/S1047951114002030.

Prosnitz AR, Drogosz M, Marshall AC, Wilkins-Haug LE, Benson CB, Sleeper LA, et al. Early hemodynamic changes after fetal aortic stenosis valvuloplasty predict biventricular circulation at birth. Prenat Diagn. 2018;38(4):286-292. doi: 10.1002/pd.5232.

Polat TB. Use of percutaneous carotid artery access for performing pediatric cardiac interventions: Single-center study. Ann Pediatr Cardiol. 2020;13(1):16-24. doi: 10.4103/apc.APC_26_19.

Peuster M, Freihorst J, Hausdorf G. Images in cardiology. Defective limb growth after retrograde balloon valvuloplasty. Heart. 2000;84(1):63. doi:10.1136/heart.84.1.63.